Effectiveness of artificial neochordae implantation in tricuspid valve repair

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dc.contributor.authorSalihi, Salih
dc.contributor.authorKızıltan, Hidayet Tarık
dc.contributor.authorHuraibat, Ahmad
dc.contributor.authorKorkmaz, Aşkın Ali
dc.contributor.authorKara, İbrahim
dc.contributor.authorGüden, Mustafa
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:49:36Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:49:36Z
dc.date.issued2019
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kalp ve Damar Cerrahisi Ana Bilim Dalı
dc.descriptionWOS: 000470726100009
dc.descriptionPubMed ID: 31236073
dc.description.abstractVarious techniques for treating tricuspid regurgitation have been described; however, because of scarce data about the long-term outcomes of different repairs, the optimal technique has not been established. We evaluated the effectiveness and durability of artificial neochordae implantation in the treatment of tricuspid regurgitation. From 2009 through 2014, 507 patients underwent tricuspid valve repair at our institution. Of those, 48 patients implanted with artificial neochordae were included in our study. The median age of the participants was 62 years (range, 4-77 yr) and 50% were women. Thirty patients (63%) were in New York Heart Association functional class III, and 11 (23%) were in class II. The cause of tricuspid regurgitation was functional in 33 patients (69%) and rheumatic in 15 (31%). In 46 patients, neochordae implantation was performed in addition to Kay annuloplasty (n= 13) or ring annuloplasty (n= 33). Forty-two patients were discharged from the hospital with absent or mild tricuspid regurgitation. The mean follow-up period was 44.3 +/- 20.2 months. Follow-up echocardiograms revealed that tricuspid regurgitation was absent, minimal, or mild in 38 patients (80.8%), moderate in 7, and severe in 2. Our results indicate that the use of artificial neochordae implantation as an adjunct procedure to annuloplasty leads to effective and durable repair in comparison with conventional techniques for treating tricuspid regurgitation.
dc.identifier.citationSalihi, S., Kızıltan, H. T., Huraibat, A., Korkmaz, A. A., Kara, İ. ve Güden, M. (2019). Effectiveness of artificial neochordae implantation in tricuspid valve repair. Texas Heart Institute Jornal, 46(2), 100-106. https://dx.doi.org/10.14503/THIJ-17-6450
dc.identifier.doi10.14503/THIJ-17-6450
dc.identifier.endpage106
dc.identifier.issn1526-6702
dc.identifier.issue2
dc.identifier.scopusqualityQ3
dc.identifier.startpage100
dc.identifier.urihttps://dx.doi.org/10.14503/THIJ-17-6450
dc.identifier.urihttps://hdl.handle.net/20.500.12511/1674
dc.identifier.volume46
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTexas Hearth Inst
dc.relation.ispartofTexas Heart Institute Jornalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCardiac Surgical Procedures/Methods
dc.subjectChordae Tendineae/Surgery
dc.subjectDisease-Free Survival
dc.subjectHeart Valve Prosthesis Implantation
dc.subjectPrognosis
dc.subjectSuture Techniques
dc.subjectTreatment Outcome
dc.subjectTricuspid Valve/Pathology/Physiopathology
dc.subjectTricuspid Valve Insufficiency/Etiology/Surgery
dc.titleEffectiveness of artificial neochordae implantation in tricuspid valve repair
dc.typeArticle

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